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Organization

SERVICE COORDINATION OF SOUTH CENTRAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE MCINTOSH (CHAIRMAN OF THE BOARD)
(717) 632-5552
Entity
Organization

Contact information

Practice address
788 CHERRY TREE CT, HANOVER, PA 17331-7901
(717) 632-5552
(717) 632-2315
Mailing address
101 BERLIN RD, NEW OXFORD, PA 17350-1226
(717) 632-5552
(717) 632-2315

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1027106240001
MA- ADULT AUSTISM WAIVER
PA
Enumeration date
01/10/2013
Last updated
01/10/2013
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